Evidence map›Paper›PMID 40011843›Full record

Observational studyBMC public health2025

Correlation of fluoride intake with haemoglobin level and intelligence quotient in 8-12 year aged children: an observational study from India.

Ruchi Singhal, Ritu Namdev, Adarsh Kumar, Amrish Bhagol, Supriya S

Abstract readObservational Study
In one paragraph

Observational study in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Ruchi SinghalDepartment of Pedodontics, PGIDS, Rohtak, India. singhal84.ruchi@gmail.com.
Ritu NamdevDepartment of Pedodontics, PGIDS, Rohtak, India.
Adarsh KumarDepartment of Public Health dentistry, PGIDS, Rohtak, India.
Amrish BhagolDepartment of Oral and Maxillofacial Surgery, PGIDS, Rohtak, India.
Supriya SDepartment of Psychology, Faculty of Behavioral Sciences, SGT University, Gurugram, India.

Funding

Indian Council of Medical Research F.N. 5/9/1458/2022-Nut
6 · The paper itself

Abstract

backgroundFluorosis caused by excess intake of fluoride can affects various soft tissues of the body, such as the gastrointestinal tract, blood, brain tissues and thyroid gland apart from dental fluorosis and skeletal fluorosis. Nonskeletal fluorosis is considered reversible if diagnosed early and treated promptly. Therefore, diagnostic methods that can be easily performed even by primary health care workers and depict any ongoing health problems, should be validated. Dental fluorosis, assessment of fluoride in urine and water are tests that fulfill these requirements. To date, no study has correlated haemoglobin (Hb) with dental fluorosis; moreover, studies focusing on intelligence quotient (IQ) had conflicting results and need further research. Hence, study was conducted to determine any relationship among different fluoride assessment parameters (severity of dental fluorosis, fluoride level in urine and drinking water) with IQ status and hemoglobin level of children aged 8-12 years, affected with or without dental fluorosis.

methodsA total of 300 children aged 8-12 years were evaluated for dental fluorosis via Dean's index, IQ level via Raven's coloured progressive matrices test, Hb level, and fluoride content in water and urine.

resultsWater fluoride, age and gender were significantly associated with Hb. Intelligence was significantly related to urinary fluoride levels. Presence or absence of dental fluorosis and its severity were not significantly related to IQ or Hb.

conclusionsExcess fluoride intake has adverse effects on hematological parameters and children's cognitive neurodevelopment, which were evaluated by current fluoride exposure markers, i.e., water and urinary fluoride. However, dental fluorosis cannot be used as a definitive assessment marker for these conditions, as it is not significantly correlated with these conditions.

Indexed as

FluoridesFluorosis, DentalHemoglobinsIntelligenceChildDrinking WaterFemaleHumansIndiaIntelligence TestsMaleDrinking WaterFluoridesHemoglobinsCognitiveDevelopmental neurotoxicityEpidemiological studiesFluorideFluorineHbIQRCPMRisk assessment

Identifiers

PMID40011843
PMCPMC11863400

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.